[New technique for treatment of hypospadias with sutures by using an Onlay flap]

The Onlay island flap urethroplasty was originally described for repair of anterior hypospadias without chordee. Then the technique was used for repair of penile hypospadias with a well developed urethral plate and exhibiting little or no chordee after release of skin tethering. In fact, it is possible to treat all penile hypospadias even with severe chordee using: 1) release of the chordee without dividing the urethral plate and 2) reconstruction of the urethra with an onlay island flap.